Assuntos
Ascite/diagnóstico por imagem , Compostos de Organotecnécio , Derivação Peritoneovenosa , Compostos de Tecnécio , Compostos de Estanho , Procedimentos Cirúrgicos Vasculares , Feminino , Humanos , Masculino , Métodos , Pessoa de Meia-Idade , Cintilografia , Albumina Sérica , Açúcares Ácidos , Enxofre , Tecnécio , Agregado de Albumina Marcado com Tecnécio Tc 99m , Coloide de Enxofre Marcado com Tecnécio Tc 99m , EstanhoRESUMO
Cholescintigraphy was performed in 113 patients of whom 38 had normal gallbladders, 37 had acute cholecystitis and 38 had chronic cholecystitis. The radiopharmaceuticals used in the study were either 99mTc-dimethyl acetanilide iminodiacetic acid or 99mTc-paraisopropyl acetanilide iminodiacetic acid, both of which performed equally well. All patients with non-visualized gallbladders had cholecystitis, but visualization did not exclude disease. The rapidity of obtaining the results (within one hour), the complete absence of untoward reactions to the radiopharmaceuticals, the much lower frequency of subtle or indeterminate results, the ability to render useful information in the presence of moderate jaundice and the lack of interference from overlying intestinal contents establishes these radionuclide agents as superior to both radiographic oral and intravenous cholangiography in the investigation of the acute abdomen.